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John Mc Laughlins One on One

News/Business. (2011) New. (CC)

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Georgetown 2, Wales 2, England 2, Ba 1, Martin Restak 1, Oxford 1, Nih 1, United States 1, Dr. Restak 1, Boxing Glove 1, Dave Mahoney 1, Anthony 1, Carol 1, Storr 1, Mr 1, Donald Palmer 1, Alzheimer 's 1, Threehi Cldren 1, Rother 1, Jesuits 1,
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  WHUT    John Mc Laughlins One on One    News/Business.   
   (2011) New. (CC)  

    July 20, 2011
    6:07 - 6:30pm EDT  

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brain research, are you not? >> i try to follow up on all the brain research that is done, yes. >> you're neurologist. >> neurology and neuropsychology, yes. >> what is neurology? >> the study of the brain, nervous system. >> why do they call it neurology? >> because with neurons, 19ingth century somebody came up with the term because it was actually limited to the brain and you can think about neurology as the study of neurons and the study of the 200 billion neurons connected together into the brain. >> how much does the brain weigh? >> a couple of pounds, two or three pounds. >> what is its consistency? >> consistency. we can argue about. that it is like jell-o. >> jell-o! >> tapioca pudding. >> soft. >> really? that's why you have that bone there. you have three coverings of the brain. >> cranium? >> yeah. >> three coverings? >> well, the bone, and below that you have a covering and all
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the names are taken from latin. >> is the cranium of a male different from the cranium of a female? >> not as such. it is different according to body size a bigger person has a big are brain and bigger cranium. >> it's not fair to say that the cranium of a male is thicker than the cranium of a female? >> i wouldn't think of it that way. i couldn't guarantee it, but i don't think so, no. >> now, do you have techniques whereby you can see the brain and actually identify those regions of the cortex -- what is the cortex? >> the cortex is the outer rhind. it is just a couple millimeters thick. >> on all sides? >> it's all around the cerebral hemisphere, yes. >> but there's an underside to the brain. >> there is. >> what is it shaped like? >> think of a boxing glove. you look at a boxing glove and the outer part is this wrinkled part of the glove and inside is a pem porl pole and under this we have the sub cortical area,
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basil ganglia area. but the thinking part is the cerebral cortex. >> you can eye dent regions of the brain, sections of the brain that are in play during various human cognitive thinking activities? >> yes, you can, yes. >> of what use is that? >> well, because you can then tell about how something is correlated. you can make these correlations if someone has sort of a problem. you know where to look for the problem. you also can study something like, take, for instance, dyslexia, people who have trouble with reading, by knowing what parts of the brain are involved in the normal reading process that helps you to understand dyslexia. >> can you look inside the brain? >> you can look inside of it in surgery, but you can't do that normally, so you have pet scans, mri scans, cat scans. >> what's the best scans to see as much as you can deeply into the brain? >> it depends if you want to see structure or function.
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if you want to see structure, mr . function, meaning what's happening, look at pet scans or functional mri's, but to demonstrate looking at geography and looking at what is happening. >> so you do a lot of that? >> yeah, we do both of them, yes. >> that's neurology. >> that's neurology, uh-huh. >> your contention is that the average life-span is not only increasing, but you recommend that we consider our life-span in terms of becoming 100 years old, is that right? >> yes, that's certainly a good possibility. >> well, the statistics are on your side. there are more today, as we learned from studies. we will get to that in a moment. >> there's supposed to be 9 or 10 million by 2030. >> are we talking usa or world? >> mostly usa. we're talking about the developed countries. >> how many are there today?
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>> about 3.8 million. >> three or four million? >> well, people over 85. if you want to know the actual number of people that are 100, no, we don't have that number. >> well, the british isles did that computation, england and wales did, and i can get that in this note that i have here in a moment. what's the social implications of rethinking how we envision old age? >> it gets rid of stereotypes, which influence how people behave. there is a famous study that shows if the psychologist is testing somebody sort of takes the attitude well, you're not going to do well because you're old or your memory is going to do poorly, well, the person will do poorly. if they take the attitude, look, you have a lot of life experiences, you're wise, intelligent, nobody will perform better. there is feedback. ageism has a negative effect on performance. >> as we do in a cultural
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environment in which age is stereotyped, right? >> yes. >> then you will conform willy-nilly to that stereotype, if you're supposed to be fragile at the age 80. >> yes. >> then you become fragile. >> exactly. >> if you think, however, that your's going to be living to the age 100, then you shatter the stereotype and you don't conform to it, and you're healthier? >> you are. >> you actually affect your health? >> you affect your health by your attitude. donald palmer has the oldest thing in the world that we are as a result of what we think. >> this is all the brain? >> of course. >> all a result of cognition. >> cognition, that's right. cognition is just a $10 word for thinking and all the aspects of thinking. >> can i use $10 words on this? >> yes. >> now, you know that nih, national institutes for health or of health. >> national institutes of metal.
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>> they -- of health. >> they just had within summary past couple of weeks they had a big meeting and they talked about how your mental state actually affects your physical health, correct? >> yes. >> were you there? >> i wasn't at that one, no. i was out of town, in europe. >> do you know whether they discovered anything new or were they just kind of ventilating this in the interest of public education? >> not having been there, i wouldn't want to declare anything, but it sounded like it was a group of people together to bring us up to date to where we stand on this. this is a valuable thing to do. >> are they sa saying that age doesn't mean the same thing today that it meant 20, 30, 40 years ago? >> it's absolutely different. look at the way -- you see people in their 80's -- in fact, anthony store the other day, famous british psychologist who died at age 80 was giving a lecture at oxford at the university there. he was one of the fellows. he was 80 years old and has
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continued to be active, writing books. >> how do do you spell his name? >> storr. >> that leads me to another man who lived over 100 and at certain periods in his life, in order to move from one activity or avocation to another, we can get into that in a moment, because you are a favor of avocations, are you not? >> yes. >> not to be confused with hunting. >> that's correct. >> you are concerned that when your brain is used that, keeps the brain healthy? >> no question about it. look at grandma moses. she started painting at 77 and lived to be 103. >> this gentleman's name was saure. he not only changes avocations but after a certain number of years he would change his name. you think that's carrying things too far? >> i think if he was starting off with a clean slate -- >> in order to live longer,
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should people avoid retirement? we'll answer that question in a moment but first here is a profile of our distingui born women ming ton, delaware, 59 yrs of age, wife carol and threehi cldren. republican. roman catholic. gettysburg college ba. georgetown university, m.d. and georgetown university medical school, associate professor, ten years. george washington university, clinical professor of neurology, ten years. 14 books, including most recently mysteries of the mind. richard martin restak. >> dr. restak, you have had quite an extraordinary career. first of all, you taught at georgetown. >> yes. >> then you abandoned the jesuits or did they dump you? then you moved over to g.w. >> yes. >> do you still teach inta at georgetown? >> i'm in the faculty but spend most of my time at g.w.
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>> okay. i have that number, by the way, and england and wales, out of every millionth person born alive in 1880, only 223 could expect to be alive 100 years later. 1880. so that's 112 years from now. 110, about that. for those born in 1990, out of one million people, 8,710 can expect to be alive 100 years later, 40 times greater. infants born in 2025 can expect to live 100 years. >> well, we should have cancer and heart disease, the big killers, under better control by that time, because people don't really die of brain disease. it is from other organs failing. >> and those organs can be maintained in improved health if the brain is servicing them well, which means, i guess, what is the healthiest condition is
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to be happy. >> absolutely. i mean, you've got to have a certain level of being happy and satisfied, not self-satisfied but satisfied with your life. >> you say that, but do you see that in action? >> in some cases, yes. >> i think that is the one thing 100-year-olds have in common, the one thing that they have in common, they do have a sense that there is a time and place for things and feel a sense of accomplishment. >> do they have a positive attitude? >> they have a positive attitude. the less of these three things isolation, depression and hostility, and they have a feeling that things should be still -- goals, they set up goals for themselves even in their 90's. >> are they ochts mystic? >> yes. optimism is a very big part of it as well. >> some of them smokers an some of them non-smokers? >> most of them are non-smokers. unfortunately, there are vom people who can smoke into their 90's and they are okay.
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i'm always bothered by that because i think other people might think that is an indicator they can smoke. i think it is a genetic thing. we have genes. we can't deny the genetic disposition. long-lived people have children who live longs. >> are there drinkers and non-drinkers who would be 100? >> yes. >> in that case, you would conclude that the reason why they live is genetics. >> genetics plays a big role, that's correct. >> but you're telling me that you're going beyond genes now, or in a different direction from genes. you're saying that their longevity is also controlled by the actively of the brain. >> yes. >> not by concentration. >> yes. >> by what? >> by the things that they're interested in. you have changed -- the genes can be altered, just like we give drugs for depression, the drugs go in there and eventually alter the genetic programming through the messages that are sent out through the genes. >> what drugs do you give out for depression? >> various ones. one is levaxer and other drugs?
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>> prozac? >> prozac, paxil, zoloft, the whole raft of them, and there are rother antidepressants. >> you sound like you know your drugs. >> well, i'm a psych -- psychopharmacology is one of my big interests? >> yes. >> it can change somebody for the better. you think someone will be suicidality and with the use of these medications they want to live again. it's very gratifying. it used to be that psychotherapy was all talk. talk, talk, talk, talk. then it moved into chemicals. >> yes. >> such as you have listed. >> yes. >> it was mostly chemicals. i can remember interviewing a woman by the name of leah who started leer's magazine and she said when she took lithium it really made the difference and all of that tal 1-866-331-talk 1-866-331-talk talk didn't do that much for her but that is
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not the view today. the view today is, you tell me if i'm wrong, you talk and you take the pill; that right? >> most of the studies show the best effect is a combination of psychotherapy or talk and the medication. i happen to think medication plays the biggest role. on the other hand, we are symbolic creatures. we talk. we use language and want to express how we feel. it's important. that's not as sufficient once people have the biological problems where they can't sleep and they don't want to eat, things like. that then they need the medications. >> so you think the medication is more efficacious than the talk? >> for certain people, yes. >> for certain people? >> yes. >> what about averages? >> i still think in most depressions, they're biological and the medication is the most important component of it. >> do you think that we only have seen the tip of the iceberg of pharmocological farm so psychological -- farm mow
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psychological medicine? >> i do we are only dealing with four or five neurotransmitters and we have 40 or 50. >> you don't have the chemicals for those? >> no. >> but they're going to come? >> sure. >> and then there will be cocktails. >> yes. >> one cocktail and then try this dosage and that dosage? >> we would like to design what i call designer drugs. the publisher didn't like that name, but design a drug for the specific person so that everybody has a specific -- if you use a cocktail of combination of the various drugs. >> this sounds very mech canistic. >> well, we are biological creatures. it does not mean that we're also spiritual creatures and ethical creatures. we have a brain sitting inside the skull and we have to address t. >> you say that these chemicals can change, modify, alter, nuance the gene itself? >> eventually, yes. as time goes on, yes. >> does is the brain
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irreplaceable? >> you can't substitute it. there is no transplant. you can't transplant a brain. >> are you sure that won't happen some day? >> it won't. there is no way you could do that. it would be too difficult to imagine, but parts of brains could be put from one to another. if you did, you would transfer one personality to another personality. the personality is embedded in the brain. >> well, the brain, the biggest part of the head is about the size of the head, right? >> yes. >> what is the smallest part of the brain you could take out and put back in? >> you would want to take a part out that would be powerful, like the experiments where they have done implants of dopamine cells. there is an example. you take some cells in and put them into another brain. >> have you seen much stroke? >> yes. >> have you seen an increase in the incidence of stroke?
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>> strokes have decreased in incidence along with the decrease in hypertension and heart disease but it is still the third biggest killer in the united states. there is more talk about stroke. >> there is more treatment for it, too. >> why are they talking about it? >> because they can prevent it. talking about stroke is a preventive thing we have for heart attacks and now we have one for stroke. you try to diagnose it early. sometimes you can treat it very early. >> third biggest killer? >> something like. that >> . >> have you heard of a sound stroke? >> yes. it -- >> have you heard of a silent stroke? >> it means somebody doesn't really know. >> it is eye sent. >> they do a cat scan or mri and see signs that there was death of brain tissue. >> how bad? >> it depends. you have a thing where somebody has, like, dementia, which is dementias are a big $10 word for senility.
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>> can a silent stroke be a big stroke? >> no >> silent by definition means it's unobserved? >> that's right. it doesn't show up clinically. >> it doesn't show up clinically or behaviorally? >> well, it will show up behaviorally. >> how? >> they will lose interests in things, sit in a room and not talk. >> how about dizziness? >> it could be a sign of anything, a sign of regular or silent stroke. >> how do you learn whether you are stroke prone? >> family history, whether you're hypertensive, whether you have heart disease. >> how about the testing here where the blood gets up to the brain. >> right. >> what do they call that? >> ka rod -- carotid artery. >> should an ultrasound be done? >> if people have an ischemic attack, they may have a carotid artery collusion. >> do you think that exam should be done regularly? >> i don't think it should be done unless you have symptoms.
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>> are you going to charge me for this? the -- now, the stroke is not the first step towards alzheimer's, is it? >> no, it is a totally different thing is that a universal opinion in your profession, or is it thought to be that the stroke is the first step in a continuum that marches on irresistibly to alzheimer's? >> you could have combinations 678 in fact, that's probably the most common thing. >> in your book, the longevity strategy, you argue against retirement. what do you say about it? >> well, in that book with dave mahoney, we talk about the fact that you have to stay alive and have to stay interested and focused and things like. that look at these people, these retirement communities, getting up -- how many games of golf you can play? you have to stay interested. >> you're not talking about maintaining the existing sauce of your lively looked right through age 10o you are talking about what? >> avocation.
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>> what is avocation? >> a serious interest in something, take up art, an interest in art when you're in your 30's or 40's. you have to start the avocation early. >> you are convinced that that will extend life? >> absolutely. it will certainly extend mental clarity. >> watching t.v. in the retirement center in a cushy seat with your feet up having food brought to you is not good? food brought to you is not good? if. for such a small if i live to a hundred. if social security isn't enough. if my heart gets broken. if she says yes. we believe if should never hold you back. if should be managed with a plan that builds on what you already have. together we can create a personal safety net, a launching pad, for all those brilliant ifs in the middle of life. you can call on our expertise and get guarantees for the if in life. after all, we're metlife.
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